AUBURN GRESHAM SATELLITE CENTER NPI 1548438450

NPI Information

  • NPI: 1548438450
  • Provider Name: AUBURN GRESHAM SATELLITE CENTER
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 14D2020657
  • Address: 1040 W. 79TH STREET
    CHICAGO, IL
    ZIP 60620
  • Phone: (312) 744-4016

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NPI Details

AUBURN GRESHAM SATELLITE CENTER is a clinic center in Chicago, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). AUBURN GRESHAM SATELLITE CENTER NPI is 1548438450. The provider is registered as an organization entity type.

The provider's business location address is:

1040 W. 79TH STREET
CHICAGO, IL
ZIP 60620
Phone: (312) 744-4016

The provider's authorized official is Joyce Gallagher .
The authorized official title is Commissioner and has the following contact phone number (312) 744-5770.

The CLIA number assigned to this NPI record is 14D2020657 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/13/2008 and was last updated on 2/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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